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This is VAERS ID 274184

Case Details

VAERS ID: 274184 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Montana  
Vaccinated:2006-12-01
Onset:2006-12-01
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:102
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other       Purchased by: Other
Symptoms: Incorrect route of drug administration, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA01074

Write-up: Information has been received from a licensed practical nurse concerning a female (age not reported) who in December 2006, was vaccinated with Gardasil (yeast) which may have been given by the SQ route or a partial SQ route. Subsequently, the patient developed slight injection site soreness (date unknown). The nurse reported that the nurse who administered this vaccination was left handed and his technique appeared "odd" and it may have looked like a SQ injection when it was really intramuscular. The patient sought unspecified medical attention. At the time of this report, the patient had recovered from the event (date unknown). Additional information has been requested.


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